Code : 9345-11086      Created Date : Saturday, August 31, 2013   Update Date : Monday, September 16, 2013    Visit : 3382

13th World Congress of the European Association for Palliative Care

The Report of 13th World Congress of the European Association for Palliative Care by Dr.Mamak Tahmasebi
Ref Code :
306-0213-0025
 
Created Date : Tuesday, July 09, 2013Update Date : Saturday, August 31, 2013IP Address : 192.168.89.140
Submit Date : Saturday, August 31, 2013Email : mamaktahma@yahoo.com
Personal Information
Name : Mamak
Surename : Tahmasebi
School/Research center : Cancer Institute
Academic Rank : Assistant professor
Tel : +98-21-6119253
E-mail : mamaktahma@yahoo.com
Information of Congress
Title of Congress : 13th World Congress of the European Association for Palliative Care
Title of Abstract : Palliative Care for Cancer Patients in the Emergency Department in Iran
Venue : Prague, Czech republic
From : Thursday, May 30, 2013
To : Sunday, June 02, 2013
Abstract(Please copy/pastethe abstract sending the congress) : Tahmasebi M, Tehran university of Medical Sciences
Palliative Care ,Department , Cancer Institute, Imam Khomeini Hospital.
Tehran, Iran
There is only public hospital in Iran that provides palliative care services to the cancer patients, who are admitted in the Emergency Department(ED). Between 33% - 46% of admissions in the ED are advanced or end-stage cancer patients. For this number of admissions there are only 10 ampules of morphine in the box for their daily needs. They normally stay in emergency for days for management of their symptoms (commonly pain and respiratory distress) or for terminal care.
Barriers for delivering palliative care services in the ED:
Traditional attitude among the ED staff that practice life-saving approaches for every patient regardless of their disease.
Ambiguous medical rules to protect the ED staff from legal action against them if they refuse to provide futile treatments to satisfy the patient’s family with unrealistic expectations.
Lack of knowledge about palliative care philosophy regarding the better symptom management and terminal care.
Insufficient number of palliative care teams, community patients who need them.
To see the mortality rate as a failure of the healthcare system even for advanced, incurable cancer patients.
Some suggestions:
Look at the palliative care as a necessity in the national healthcare system that should be addressed urgently.
Integration of the basic concept of palliative medicine in educational curriculum of all medical fields and specialties particularly the emergency medicine.
Creation of community care services as a priority.
Allocation of an oncology unit in the ED for an organized attention to the needs of this group of patients.
Regular emergency department visit by palliative care team with the oncology specialists to help a better symptom control, decision-making and future planning.
Referring advanced cancer patients to the palliative medicine after discharging them from the ED.
Keywords of your Abstract : palliative care, emergency department, cancer
Acceptance : http://gsia.tums.ac.ir/images/UserFiles/8021/Forms/306/acceptance_1.pdf
The presentation : Poster
The Cover of Abstract book :
Published abstract in abstract book with code :
Where does your abstract index? : none
If you choose other, please name :  
Congressional Meeting Report Form
How many volunteers were present at this meeting? : A number of 2295 participants from 87 countries came to the congress
Which countries were presented in congress? : 82.7% were from European Countries and 17.3% were from rest of the world
were any organizations represented in the meeting? : Yes
If yes, please write the names of the organization in the box : EAPC (European Association for Palliative Care), APHN(Asia Pacific Hospice Palliative Care Network), IAHPC (International Association for Hospice and Palliative Care)
What were the response to your talking points? were specific questions or concerns raised? : They asked me about the situation palliative care including hospital based palliative care, community care services and hospices. And also if there is any palliative care team existed here.
If you met with staff members, please list their full name & positions. : Dr Ednin Hamzah/Hon Secretary APHN
Associate Professor Meera Agar/Discipline of palliative and supportive services Flinders University,
Adelaide, Australia
Dr. Ghauri Aggarwal/Head of Department | Palliative CareConcord Hospital, Hospital Road, Concord, Australia
Liliana de Lima, MHA, Executive Director of IAHPC
Please make a note if there are any follow up actions we need to talk with the member of congress : For improving Palliative Care in our country contact with key international persons in this field would be critical. I strongly suggest Liliana de Lima, MHA, Executive Director od IAHPC. Countries like Malaysia are culturally similar to Iran and taking help for better adopting palliative care would be very important. I suggest Dr Ednin Hamzah from Malaysia for this purpose. Education of palliative medicine is very important part of improving palliative care in each countries. With receiving help from countries and specialists that have a long history in educationg palliative care such as Australia we can move faster. Associate Professor Meera Agar from Australia is one of the key persons in education and research in palliative medicine that can be helpful.
Your experiences about the travel processes(Providing ticket, accommodation,...) : Because of our currency devaluation affording ticket, accommodation and registration fees and buying books is difficult and support by the university for attending these sort of congresses is very important.
Meeting summary:(include: names of every one in attendance, outcomees and personal observatons of the metting, and please make a note if there are any follow up actions we need to take with the member of congress or their staff): : EAPC congress is one of the important congresses in Palliative Care and each year lots of countries participate in it. The congress was very well organized and surprisingly I noticed that they avoid unnecessary costs for example gifts or luxury meals.
As I mentioned before for improving palliative medicine as a new field of medicine close contact with international key persons would be important. We can use other countries experiences for developing palliative care in our countries. We are especially very weak in community care services that are an important part of palliative care services in developing and developed countries.
We need palliative care teams for looking after patients with life threatening diseases in the Emergency Departments and also ICUs.

 

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